Individual provider Active NPI

John Carlyle Schlabach, MD

  • Family Medicine Physician
  • Ganado, AZ
National Provider Identifier
1407837362
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24456 Issued in AZ
Practice address
1 Hospital Road
Ganado, AZ 86515
Phone
(928) 755-4632
Fax
(928) 755-4831
NPI assigned
Nov 8, 2005
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M5489 TX
Emergency Medicine Physician 207P00000X 24456 AZ
Emergency Medicine Physician 207P00000X 01037080A IN
Family Medicine Physician 207Q00000X MD20060005 NM
Family Medicine Physician 207Q00000X 01037080A IN
Family Medicine Physician 207Q00000X 24456 AZ Primary

Addresses

Primary practice location

1 Hospital Road
Ganado, AZ 86515

Mailing address

1507 W Main St
Gatesville, TX 76528-1024
Phone (254) 865-8251

Other identifiers 3

IdentifierTypeStateIssuer
75208300MedicaidNM
360397MedicaidIN
360397MedicaidAZ

Other names 1

  • Carlyle Schlabach Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DrJSchlabach@cmhs.securechart.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060508000306 AZ Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Obstetrics/Gynecology 9234140179 Reassigns benefits to 3 organizations
I20200522002251 IL Practitioner - Family PracticePractitioner - Emergency Medicine 9234140179

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Navajo Health Foundation-Sage Memorial Hospital, Inc.Group PAC ID 2163332347, shared by 3 NPIs, 60 clinicians

Practice addresses (Care Compare)

State Hwy 264 JCT Hwy 191
Ganado, AZ 86505-0457
Phone 92875545004933

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01037080AINMDEmergency Medicine Physician
M5489TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Acute Medical Services 1 PC CurrentSince Oct 1, 2020 Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Jul 23, 2020 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Jul 23, 2020 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients
Iora Health, LLC Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Glen Rose Medical Foundation Emergency Medicine Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (800) 617-7717

Interoperability endpoints

  • Direct secure messaging: drjschlabach@cmhs.securechart.com
  • Direct secure messaging: smhprovider@direct.sagememorial.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1407837362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-865-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL ROAD",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "86515",
            "telephone_number": "928-755-4632",
            "fax_number": "928-755-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLABACH",
        "first_name": "JOHN",
        "middle_name": "CARLYLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M5489",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "24456",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01037080A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD20060005",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01037080A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "24456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75208300",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360397",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360397",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrJSchlabach@cmhs.securechart.com",
            "affiliation": "N",
            "endpointDescription": "Coryell Health Direct Messaging Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1507 W Main St",
            "city": "Gatesville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765281024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARLYLE",
            "last_name": "SCHLABACH",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ganado, AZ

Sources for this page

Verify at the official NPI Registry.